| 刘娅,董桂平,吴梅,等.老年早期糖尿病肾脏病患者出院准备服务的循证证据总结[J].中国临床保健杂志,2025,28(2):266-274. |
| 老年早期糖尿病肾脏病患者出院准备服务的循证证据总结 |
| Evidence summary of discharge preparation services for elderly patients with early diabetic kidney disease |
| 投稿时间：2024-12-28 |
| DOI：10.3969/J.issn.1672-6790.2025.02.024 |
| 中文关键词: 糖尿病肾病 早期医疗干预 病人出院 循证医学 老年人 |
| 英文关键词: Diabetic nephropathies Early medical intervention Patient discharge Evidence-based medicine Aged 〖FL |
| 基金项目:国家科技创新2030—“脑科学与类脑研究”重大项目(2022ZD0211601)；安徽省社会科学创新发展研究项目(2020CX038) |
| 作者 | 单位 | E-mail | | 刘娅 | 安徽中医药大学护理学院,合肥 230012 | dgp1006@163.com | | 董桂平 | 中国科学技术大学附属第一医院安徽省立医院, 老年医学科, 内分泌科,合肥 230001 | dgp1006@163.com | | 吴梅 | 中国科学技术大学附属第一医院安徽省立医院, 老年医学科, 内分泌科,合肥 230001 | dgp1006@163.com | | 吴新春 | 中国科学技术大学附属第一医院安徽省立医院, 老年医学科, 内分泌科,合肥 230001 | dgp1006@163.com | | 姚红萍 | 中国科学技术大学附属第一医院安徽省立医院, 老年医学科, 内分泌科,合肥 230001 | dgp1006@163.com | | 刘柳 | 安徽中医药大学护理学院,合肥 230012 | dgp1006@163.com | | 王艳萍 | 安徽中医药大学护理学院,合肥 230012 | dgp1006@163.com | | 许志友 | 安徽中医药大学护理学院,合肥 230012 | dgp1006@163.com |
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| 中文摘要: |
| 目的 评价老年早期糖尿病肾脏病患者出院准备服务的相关证据,为实施老年早期糖尿病肾脏病患者出院准备服务干预提供循证依据。方法 计算机检索UpToDate、BMJ最佳临床实践、加拿大安大略省注册护士协会、国际指南协作网、美国国立指南网、英国国家卫生与临床优化研究所网站、苏格兰学院指南网、医脉通、JBI循证卫生保健中心数据库、Cochrane Library、Pubmed、Embase、Medline、Web of Science、CINAHL、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普数据库、中华医学期刊全文数据库以及专业学会网站发表的有关老年早期糖尿病肾脏病患者出院准备服务的相关文献,检索时限从建库至2024年11月26日。结果 共纳入20篇文献,包括2篇临床决策、6篇指南、6篇专家共识、2篇证据总结、2篇系统评价、2篇随机对照试验,从入院时筛选与评估、制订出院计划、住院期间健康指导、出院前准备、出院时指导、出院后随访与评价6个方面总结了31条证据。结论 老年早期糖尿病肾脏病患者的出院准备服务干预需要结合入院时筛选与评估、制订出院计划、住院期间健康指导、出院前准备、出院时指导、出院后随访与评价等方面管理的循证证据。 |
| 英文摘要: |
| Objective To evaluate the evidence related to discharge preparation services for elderly patients with early diabetic kidney disease,and to provide evidence-based evidence for the implementation of discharge preparation services for elderly patients with early diabetic kidney disease.Methods Computer searches were conducted on UpToDate,BMJ Best Practice,RNAO,GIN,NGC,NICE,SIGN,Med-live website,JBI Evidence Based Healthcare Center database,Cochrane Library,Pubmed,Embase,Medline,Web of Science,CINAHL,CBM,CNKI,Wan-fang,VIP,the full text database of Chinese medical journals,and the website of professional societies was searched from the establishment of the database to November 26,2024.Results A total of 20 articles were included,including 2 clinical decision-making articles,6 guidelines,6 expert consensus articles,2 evidence summaries,2 systematic reviews,and 2 randomized controlled trials.A total of 31 pieces of evidence were summarized from six aspects:screening and evaluation at admission,developing discharge plans,health guidance during hospitalization,preparation before discharge,guidance at discharge,and follow-up and evaluation after discharge.Conclusions The service intervention of discharge preparation for elderly patients with early diabetic kidney disease needs to be combined with the evidence-based evidence of management of screening and evaluation at admission,development of discharge plan,health guidance during hospitalization,preparation before discharge,guidance at discharge,and follow-up after discharge. |
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